FIRST NAME
LAST NAME
COMPANY
ADDRESS 1
ADDRESS 2
CITY
STATE ZIPCODE
COUNTRY
TELEPHONE
EMAIL
Do you have a net worth, or a joint net worth with your spouse, in excess of $1,000,000?
No
Yes
Have you had an income in excess of $200,000 per year, or a joint income with your spouse in excess of $300,000 per year, for the immediately preceding two years, and do you have a reasonable expectation that you will have an income excess of $200,000, or a joint income with your spouse in excess of $300,000 in this calendar year?
No
Yes
Are you a Corporation, Partnership, LLC, Business Trust or tax-exempt organization not formed for the purpose of investing in hedge funds and with total assets in excess of $5,000,000?
No
Yes
Estimated Value of Portfolio (please enter a dollar amount): $
Which Best Describes You?
Accredited Investor
Investment Manager
Service Provider
Bank or Trust Company
Type of Entity:
Entity Organized or Incorporated under U.S. Law
Resident or Citizen of U.S.
Entity Not Organized or Incorporated under U.S. Law
Non U.S. Citizen or Resident
DISCLAIMER
You are informed and acknowledge that Integre Advisors, LLC ("Integre") is not affiliated with ViziTrade Inc. ("ViziTrade") and has no responsibility for the information on this website or your use of this website. Integre is an independent investment adviser registered with the Securities and Exchange Commission. Integre will compensate ViziTrade for referrals received through this website which result in a client relationship being established with Integre. Prior to entering into a client relationship with Integre, you will be given a disclosure statement providing further information about the referral arrangement between Integre and ViziTrade and copy of Integre's Form ADV Part II. A client relationship with Integre will not exist until you have been accepted as a client by Integre in Integre's sole discretion and enter into a written investment management agreement with Integre.
